S10-2 Instruments for the analysis of national-level physical activity and sedentary behaviour policies: a systematic review

Abstract Background Researchers and policy makers have developed and used a variety of instruments to assess physical activity policies. Data on the available instruments and their properties have never been summarised in a systematic way. In this review we, therefore, aimed to identify and critically assess available instruments for the analysis of national-level physical activity and sedentary behaviour policies and provide recommendations for their future use. Methods A systematic search of grey and academic literature was conducted in Scopus, SPORTDiscus, PubMed/MEDLINE, Web of Science, Networked Digital Library of Theses and Dissertations, and Open Access Theses and Dissertations, on the websites of three large international organisations for physical activity promotion, and using Google. The Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework was used to assess and classify the instruments, based on their purpose, the policy sectors and scope of analysis they cover, and the policy types and stages of policy cycle they inquire about. Results Among a total of 22,071 screened references, we found 26 publications describing 16 instruments that met the inclusion criteria. All the available instruments are intended for analysing some aspects of physical activity policy. Only two instruments include questions about sedentary behaviour policy. None of the instruments can be used to analyse all the relevant policy components. Only a few instruments refer to the agenda-setting and endorsement/legitimisation stages, the effects of policy, and the research and tourism sectors. The termination and succession stages of the policy cycle and unwritten formal statements and informal policies were not addressed by any of the available instruments. Conclusion Our findings indicated there is a need to design new instruments or adapt the existing ones to facilitate a more comprehensive analysis of national physical activity and sedentary behaviour policy. It would be extremely time-consuming to analyse all important components of physical activity and sedentary behaviour policy in a single analysis; hence the development of complementary instruments, where each one of them inquires about a specific policy component, might be a way forward.


Background
Physical inactivity accounts for as many as 5 million deaths per year globally but has yet to be addressed effectively by most governments or the World Health Organization (WHO). Description of the problem Reasonable evidence for effective strategies exist, and several countries have implemented consistent public health policies and programs that have increased population prevalence of regular physical activity. In 2018 WHO launched a Global Action Plan for Physical Activity (GAPPA). However, most countries do not have effective public health policies in place for physical activity. Evaluating the history of national and global policies to understand how some countries have developed sound public health programs for physical activity while most have not requires monitoring and evaluating policy, programmatic, and perhaps even research indicators for physical activity. Only recently have there been systematic efforts to do so.

Results
Several key questions about physical activity policy, starting with an examination of the evolution of public health physical activity policy and policy research from when it was first explicitly identified in the 1990s to the present will be addressed. Key recommendations, global statements, research reviews and action plans will be summarized to provide a clear picture of the evolution of this important aspect of public health. Evidence on the implementation of policy at national and global levels will also be reviewed. We will examine whether it feasible to track physical activity policy at the global and country levels, if the existence of ?good? physical activity policy is associated with less physical inactivity, how policy indicators may be used for advocacy and guidance. Lessons Physical activity policy for public health is a relatively new concept that has evolved significantly in the last three decades with formal national and global policy statements, research, and evaluation efforts all increasing markedly since 1990.

Main Message
Despite notable growth in policy research and the development of sophisticated national and global policies and action plans, Abstract citation ID: ckac093.051 S10-2 Instruments for the analysis of national-level physical activity and sedentary behaviour policies: a systematic review Ž eljko Pedišić 1 1 Institute for Health and Sport, Victoria University, Melbourne, Australia Corresponding author: zeljko.pedisic@vu.edu.au

Background
Researchers and policy makers have developed and used a variety of instruments to assess physical activity policies. Data on the available instruments and their properties have never been summarised in a systematic way. In this review we, therefore, aimed to identify and critically assess available instruments for the analysis of national-level physical activity and sedentary behaviour policies and provide recommendations for their future use. Methods A systematic search of grey and academic literature was conducted in Scopus, SPORTDiscus, PubMed/MEDLINE, Web of Science, Networked Digital Library of Theses and Dissertations, and Open Access Theses and Dissertations, on the websites of three large international organisations for physical activity promotion, and using Google. The Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework was used to assess and classify the instruments, based on their purpose, the policy sectors and scope of analysis they cover, and the policy types and stages of policy cycle they inquire about.

Results
Among a total of 22,071 screened references, we found 26 publications describing 16 instruments that met the inclusion criteria. All the available instruments are intended for analysing some aspects of physical activity policy. Only two instruments include questions about sedentary behaviour policy. None of the instruments can be used to analyse all the relevant policy components. Only a few instruments refer to the agenda-setting and endorsement/legitimisation stages, the effects of policy, and the research and tourism sectors. The termination and succession stages of the policy cycle and unwritten formal statements and informal policies were not addressed by any of the available instruments.

Conclusion
Our findings indicated there is a need to design new instruments or adapt the existing ones to facilitate a more comprehensive analysis of national physical activity and sedentary behaviour policy. It would be extremely timeconsuming to analyse all important components of physical activity and sedentary behaviour policy in a single analysis; hence the development of complementary instruments, where each one of them inquires about a specific policy component, might be a way forward. Keywords: physical activity, sedentary behaviour, national policy, instruments Abstract citation ID: ckac093.052 S10-3 The Global Observatory for Physical Activity-GoPA! Policy Inventory: Progress and methods Ramirez Varela 1 of Medicine, Universidad de los Andes, Bogota, Colombia author: aravamd@gmail.com 2015, GoPA! was launched to monitor progress on Physical (PA) surveillance, policy and research globally. In 2017, the GoPA! started developing a PA Policy Inventory to enable collecting comparable data on PA policy worldwide.

Methods
The instrument was developed in three stages. Stage-1: Critical assessment of the Policy Inventory version 1.0 was based on a review of other policy instruments/frameworks including: Health enhancing physical activity policy audit tool; the monitoring framework from the EU Recommendation on Health-Enhancing Physical Activity Across Sectors; and the Comprehensive Analysis of Policy on Physical Activity framework. Feedback from 14 GoPA! Country Contacts was received ii26 European Journal of Public Health, Volume 32 Supplement 2, 2022